Abstract: Methods for correction of spinal deformities using bone anchors having one or more features configured to actively draw in and/or compact vertebral bone into an inner chamber. In some implementations, a first bone anchor having an inner chamber may be advanced into a first vertebral body of a spinal column. One of more features of the inner chamber may, as the first bone anchor is rotatably or otherwise advanced, actively draw and compact vertebral bone into the inner chamber. A second bone anchor may be advanced into a second vertebral body of the spinal column, after which a tether may be coupled between the first and second bone anchors to apply a corrective force to at least a portion of the spinal column.

Abstract: System and methods for channeling a path into bone include a trocar having a proximal end, distal end and a central channel disposed along a central axis of the trocar. The trocar includes a distal opening at or near the distal end of the trocar. The system includes a curved cannula sized to be received in the central channel, and having a curved distal end configured to be extended laterally outward from the distal opening in a curved path extending away from the trocar. The curved cannula has a central passageway having a diameter configured to allow a probe to be delivered through the central passageway to a location beyond the curved path.

Abstract: A method of performing percutaneous interbody spinal fusion on adjacent vertebrae in a patient including the steps of: creating a percutaneous access opening on the patient, using indirect visualization to establish a surgical path through the access opening, creating a cavity in a disc space between the adjacent vertebra, without retraction, inserting an expandable implant into the cavity, the implant configured to fit through the access opening into the cavity, and expanding the implant within the cavity.

Abstract: A staple apparatus can include a base member substantially coplanar to a first axis and a second axis perpendicular to the first axis. The base member can include a trapezoidal shape including two substantially equal length sides and two unequal length sides, the two unequal length sides comprising a first side and a second side with the first side being shorter than the second side and the first side being parallel with the second side on the first axis. The base member can include an aperture passing through a center point of the base member, a first indentation in the first side, and a second indentation in the second side. The staple apparatus can include a first pair of legs protruding from the first side of the base member and a second pair of legs protruding from the second side of the base member.

Abstract: A device for accessing extra articular lesions or abnormalities or intra osseous lesions or abnormalities or bone marrow lesions using intra articular localization has a guide, a locating arm, a set of attachment assemblies and a tubular sleeve. The device comprises a device body and an attachment assembly mounted on the device body. The attachment assembly includes a main body and at least one closure body. The main body has an elongated recess therein. The elongated recess is configured for receiving an elongated member therein along an entire length thereof. The at least one closure body is rotatably mounted on the main body. The elongated member may be positioned within the elongated recess via lateral movement when the at least one closure body is in a first rotational position relative to the main body.

Abstract: A surgical tool for positioning a surgical device includes a gripping portion; a rod protruding from the gripping portion; and a coupling system. The coupling system comprises an axial retention assembly comprising, at a free end of the rod, two opposite semispherical portions, wherein respective flat surfaces are separated from each other by an axial notch made partially along the rod, and a central clutch movable between a locking position and a disengagement position. In the locking position, the central clutch approaches the free end of the rod and is interposed between the two semispherical portions, preventing reciprocal approach thereof so as to block the two semispherical portions within a seat of said surgical device. In the disengagement position, the central clutch moves away from the free end such that the two semispherical portions can approach to allow the tool to come out of the surgical device.

Abstract: A coracoid drill guide assembly includes a body having a cylindrical channel on each side of the body for receiving a drill guide sleeve. The sleeves of the assembly have a 1.4 mm inner diameter to guide a 1.3 mm (or smaller) K-wire through the sleeve. An aimer arm extends from the body at a non-intersecting angle with the drill sleeve. The assembly also has a self-locking ratchet mechanism to lock the sleeve in place once the assembly has been secured to bone.

Abstract: A system for delivering bone graft material into an interbody fusion device (IBFD) in an intradiscal space of a spine, the IBFD having an open-frame with a hollow interior and an opening through its proximal end communicating with the interior. Included is an elongate channel having a lumen extending therethrough, the distal end being in engagement with the IBFD to align the lumen with the opening through the proximal end of the IBFD. An adjustable block is movably attached to the channel, the block having plural chambers containing bone graft material, the chambers being individually sequentially alignable with the lumen. A plunger pushes graft material from each chamber, through the lumen and into the IBFD. A distal end of a tamper is configured to be inserted through each chamber and the lumen and into the IBFD interior for tamping graft material deposited into the interior of the IBFD.

Abstract: Devices, systems, and methods for performing a transcorporeal microdecompression are described. The transcorporeal microdecompression may include a bone void plug allograft and specialized instruments for performing the procedure. This procedure may be performed under navigation and/or with robotic assistance.

Abstract: A sacroiliac joint implant includes an implant structure formed from an elongated base member, an elongated first side member, and an elongated second side member, with an internal support structure extending in an implant plane from the base member to each of the first side member and the second side member. A fusion passage is defined in an area between the base member, first side member, and second side member. The fusion passage defines a respective open area through the implant to facilitate bone growth across the sacroiliac joint when the implant is properly implanted in the joint.

Abstract: A driver-specific back-out prevention mechanism is disclosed that includes a screw and a body. A first driver can be used for coupling and decoupling the screw with the body, and a second driver can only be used for adjusting the position of the screw in the receiving body. The body includes a cavity for receiving a head of the screw, with the cavity having an inward flange. The screw includes upper and lower sockets, with a channel extending though the head from the lower socket and a lock body disposed in the channel. Engagement with the first driver allows the locking body to move such that the fastener can be inserted and removed from the body. Engagement with the second driver displaces the locking body such that the locking body interferes with the flange such that screw fastener cannot be removed from the body by the second driver.

Abstract: A cutting guide for spinal osteotomy comprises a main body having a first and a second arm, each provided with a respective through slot. The first and second arm are preferably inclined with respect to each other to substantially form a V shape. The guide also comprises a distal surface and a proximal surface shaped according to the anatomy of the specific patient and a height of each arm is also shaped according to the anatomy of the specific patient.

Abstract: An implant resection system for preparing an implant site to replace a defect in an articular surface of a first bone includes a first guide configured to be coupled generally to the first bone. The first guide includes a body portion defining a channel configured to receive a pin, wherein the pin is configured to penetrate and form a longitudinally disposed bore within the first bone. The implant resection system further includes a second guide configured to be coupled generally perpendicular to the first bone proximate to the defect by way of the bore. The second guide includes a drill bit configured to form an excision site through a portion of the articular surface in preparation of receipt of an implant.

Abstract: A tool for use with a surgical robotic manipulator that comprises an energy applicator including a shaft extending along an axis between a proximal end and a distal end. The shaft has an axial-force receiving surface. A tool assembly comprises a support structure to support the energy applicator, an axial connector assembly arranged to engage and releasably lock the energy applicator to the support structure in a locked state, a drive system coupled to the support structure to rotatably drive the shaft of the energy applicator about the axis, a collet assembly cooperating with the axial connector assembly and configured to apply a force to the axial-force receiving surface of the energy applicator in the locked state, and a reference surface. The force includes an axial component directing the energy applicator proximally into continuous contact with the reference surface in the locked state.

Abstract: A cannulated headless compression screw is provided with an attachment mechanism that enables coupling various attachments to the headless compression screw. The headless compression screw includes a screw thread on its exterior that is adapted to effect compression between two bone fragments. For instance, the exterior screw thread may have a variable pitch formed to effect such compression. The interior of the headless compression screw's trailing end includes an interface that is adapted to engage with a driving instrument. A surgeon may drive the headless compression screw into bone via the driving instrument and then access the attachment mechanism to couple an attachment to the headless compression screw.

Abstract: A capital fragment guide is configured to be temporarily secured to a capital fragment of a metatarsal that has been surgically separated from a proximal portion of the metatarsal. The capital fragment guide can be manipulated to correspondingly manipulate the capital fragment, thereby correcting a bunion. An implant can permanently secure the proximal portion to the capital fragment.

Abstract: Drill guide assemblies are adjustable for proper alignment of drill holes in the glenoid with the drill holes in the coracoid during a Latarjet procedure. The drill guide has an aimer arm extending from the body of the drill guide which has a fixed angle with respect to a drill sleeve inserted through the guide. The aimer arm can move up or down relative to the drill sleeve while maintaining the fixed angle relative to the drill sleeve by actuation of a translation member on the body.

Abstract: This disclosure presents a MITLIF procedure. The procedure uses a single incision on one side and pedicle screws are placed on that side and through the same incision a facet screw is placed on the opposite side using a series of jigs, and, for example, the hole cutter, drill, guide shaft and screw driver described herein.

Abstract: An anchor delivery system includes both a straight and curved drill guide along with a flexible drill, a flexible obturator and a flexible anchor inserter. The curved drill guide has a distal tip with approximately a 15° bend from the primary axis of the drill guide. Both the drill and the obturator have a reduced diameter section to improve flexibility during passage through the curved drill guide. Additionally, a surface of the inserter shaft has a laser cut pattern which permits flexing of the inserter around the inner diameter of the curved drill guide.

Abstract: A bone displacement system includes a body having a first arm and a second arm. The first arm is connected to a first leg configured to engage a plate configured to be located on a first bone portion. The second arm is connected to a second leg configured to be connected to a second bone portion. A force application fixture is coupled to the first arm and the first leg and configured to apply a force between the first arm and the first leg. The plate has screw holes aligned to allow screws to connect the plate to the first bone portion and the second bone portion after a movement of the first bone portion relative to the second bone portion by the force applied by the force application fixture.